Influence of volume of work on the outcome of treatment for patients with colorectal cancer.

2.50
Hdl Handle:
http://hdl.handle.net/10541/87927
Title:
Influence of volume of work on the outcome of treatment for patients with colorectal cancer.
Authors:
Parry, J M; Collins, S; Mathers, J; Scott, N A; Woodman, Ciaran B J
Abstract:
BACKGROUND: Recent recommendations for the reorganization of cancer services emphasize the importance of a 'minimal acceptable volume of work'. The influence of both hospital and surgical workload has been examined using a population-based series of patients with colorectal cancer. METHODS: Nine hundred and twenty-seven patients with primary colorectal cancer diagnosed during the period 1 January to 30 June 1993 were identified from the North Western Regional Cancer Registry. Case notes were reviewed for information on patient age and sex, histological diagnosis, disease stage, degree of tumour differentiation, mode of admission, identity of operating surgeon, timing of operative procedure, and use of radiotherapy and/or chemotherapy. A multivariate Cox proportional hazards model was then constructed to examine, simultaneously, the effects of patient-, disease- and health service-related variables on survival. RESULTS: Age, tumour stage and differentiation, and mode of admission were revealed as significant independent prognostic variables. After adjusting for these variables, neither operator grade (consultant versus junior), consultant workload nor hospital throughput were identified as independently influencing patient survival. CONCLUSION: The results of this study do not support an association between volume of work and patient outcome.
Affiliation:
Centre for Cancer Epidemiology, Christie Hospital NHS Trust, Manchester, UK.
Citation:
Influence of volume of work on the outcome of treatment for patients with colorectal cancer. 1999, 86 (4):475-81 Br J Surg
Journal:
The British Journal of Surgery
Issue Date:
Apr-1999
URI:
http://hdl.handle.net/10541/87927
DOI:
10.1046/j.1365-2168.1999.01064.x
PubMed ID:
10215817
Type:
Article
Language:
en
ISSN:
0007-1323
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorParry, J Men
dc.contributor.authorCollins, Sen
dc.contributor.authorMathers, Jen
dc.contributor.authorScott, N Aen
dc.contributor.authorWoodman, Ciaran B Jen
dc.date.accessioned2009-12-14T17:01:04Z-
dc.date.available2009-12-14T17:01:04Z-
dc.date.issued1999-04-
dc.identifier.citationInfluence of volume of work on the outcome of treatment for patients with colorectal cancer. 1999, 86 (4):475-81 Br J Surgen
dc.identifier.issn0007-1323-
dc.identifier.pmid10215817-
dc.identifier.doi10.1046/j.1365-2168.1999.01064.x-
dc.identifier.urihttp://hdl.handle.net/10541/87927-
dc.description.abstractBACKGROUND: Recent recommendations for the reorganization of cancer services emphasize the importance of a 'minimal acceptable volume of work'. The influence of both hospital and surgical workload has been examined using a population-based series of patients with colorectal cancer. METHODS: Nine hundred and twenty-seven patients with primary colorectal cancer diagnosed during the period 1 January to 30 June 1993 were identified from the North Western Regional Cancer Registry. Case notes were reviewed for information on patient age and sex, histological diagnosis, disease stage, degree of tumour differentiation, mode of admission, identity of operating surgeon, timing of operative procedure, and use of radiotherapy and/or chemotherapy. A multivariate Cox proportional hazards model was then constructed to examine, simultaneously, the effects of patient-, disease- and health service-related variables on survival. RESULTS: Age, tumour stage and differentiation, and mode of admission were revealed as significant independent prognostic variables. After adjusting for these variables, neither operator grade (consultant versus junior), consultant workload nor hospital throughput were identified as independently influencing patient survival. CONCLUSION: The results of this study do not support an association between volume of work and patient outcome.en
dc.language.isoenen
dc.subjectColorectal Canceren
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshColorectal Neoplasms-
dc.subject.meshConsultants-
dc.subject.meshFemale-
dc.subject.meshHospital Mortality-
dc.subject.meshHospitalization-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshQuality of Health Care-
dc.subject.meshRisk Factors-
dc.subject.meshSurvival Analysis-
dc.subject.meshSurvival Rate-
dc.subject.meshTreatment Outcome-
dc.subject.meshWorkload-
dc.titleInfluence of volume of work on the outcome of treatment for patients with colorectal cancer.en
dc.typeArticleen
dc.contributor.departmentCentre for Cancer Epidemiology, Christie Hospital NHS Trust, Manchester, UK.en
dc.identifier.journalThe British Journal of Surgeryen

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